Nitin K.G.Golechha MD,PC.
Organization Active NPI Internal Medicine Physician · Marlette, MI
NPI 1003068016 · NPPES record last updated Feb 11, 2009
Key facts
- NPI
- 1003068016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301071011 (MI)
- Legal business name
- NITIN K.G.GOLECHHA MD,PC.
- Practice address
- 2734 Main St
Marlette, MI 48453-1141 - Phone
- (989) 635-1871
- Fax
- (989) 635-1872
- NPI assigned
- Oct 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Nitin K.G. Golechha, MD
- Title
- President
- Phone
- (989) 635-1871
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081218000035 | MI | Part B Supplier - Clinic/Group Practice | 5294897740 |
Receives reassigned benefits from 1 practitioner Practice locations: Marlette, MI |
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBGGBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 4301071011 | MI | Yes |
Addresses
Primary practice location
2734 Main St
Marlette, MI 48453-1141
Mailing address
2734 Main St
Marlette, MI 48453-1141
Phone (989) 635-1871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003068016 | Other | NPI | |
| MI1199 | Other | MEDICARE PTAN |
Other providers in Marlette, MI
- Joyce McNabb
- Makayla Rose McNary
- Mohan Dass Macha MD PC
- Janet A. Mutch
- Allison Nichol
- Brad Reck
- Reliant Renal Care-Marlette LLC
- Rite Aid of Michigan Inc
- Robert G Mutch DO PC
- Saib Isterabadi MD
All providers in Marlette, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.